Occupational Therapy Early Intervention Programs by State

One of the most underutilized resources for occupational therapy that is funded by the federal government is early intervention. Early intervention occupational therapy is typically for kiddos 0-3 years, but varies by state and can be 0-5 years. However, how early intervention is provided and the rules and standards are set by each state in the United States.

Early intervention services are designed to help children achieve their developmental milestones and enhance their overall quality of life. OT in early intervention primarily addresses the following areas:

  1. Fine Motor Skills: Occupational therapists work with young children to develop and improve fine motor skills, such as grasping objects, manipulating toys, and developing hand-eye coordination.
  2. Activities of Daily Living: OTs help children with essential daily activities, such as feeding, dressing, grooming, and bathing, to promote independence.
  3. Sensory Processing: Occupational therapists may address sensory processing issues, helping children regulate their responses to sensory stimuli and engage more effectively in their environment.
  4. Gross Motor Skills: In addition to fine motor skills, OTs can also work on gross motor skills, which are important for activities like crawling, walking, and playing.
  5. Cognitive Skills: Therapists assist in enhancing cognitive skills, such as problem-solving, attention, and memory.
  6. Social and Emotional Development: OTs can help children improve their social skills and emotional regulation, promoting interaction with peers and caregivers.

The delivery of early intervention services can vary by state in the United States due to differences in state regulations, funding, and policies. Some of the key ways early intervention services may vary from state to state include:

  1. Eligibility Criteria: The criteria for determining which children are eligible for early intervention services can vary. States have their own guidelines for what constitutes a developmental delay or disability that qualifies for services.
  2. Service Delivery Models: States may use different service delivery models, such as center-based programs, home-based interventions, or a combination of both.
  3. Service Providers: The professionals who provide early intervention services may differ from state to state. In addition to occupational therapists, speech therapists, physical therapists, and other specialists may be involved.
  4. Funding and Resources: Funding and available resources for early intervention services can vary significantly among states, affecting the quantity and quality of services provided.
  5. Parent Involvement: The degree of parent involvement and the way parents are included in the planning and implementation of services can differ between states.
  6. State Regulations: Each state may have specific regulations governing early intervention programs, including the qualifications and licensure requirements for professionals delivering services.
  7. Age Ranges: The age range for early intervention services can vary slightly from state to state, typically covering children from birth to age three.

A very useful resource that the CDC has is a list of early intervention programs by state. The following early intervention programs were referenced from this page.


Alaska Early Intervention/Early Learning Program
(877) 477-3659 or (907) 269-8442


First Connections
(800) 643-8258


Early Start
(800) 515-2229


Early Intervention Colorado
(888) 777-4041


Birth to Three Program
(800) 505-7000


Birth To Three
(800) 671-0050: New Castle County
(800) 752-9393: Kent/Sussex County


Early Steps
(800) 218-0001


Babies Can’t Wait
(800) 229-2038


Early Intervention Section
(808) 594-0066 or (800) 235-5477


Infant Toddler Program (ITP)
(800) 926-2588 or dial 2-1-1


Illinois Early Intervention Program
(800) 323-4769


First Steps
(800) 545-7763


(888) 425-4371


Infant Toddler Program
(800) 332-6262 or (785) 296-6135


First Steps
(877) 417-8377


Early Steps
(866) 327-5978


Child Developmental Services
(877) 770-8883


Maryland Infants and Toddlers Program
(800) 535-0182


Massachusetts Early Intervention
(800) 905-8437


Early On
(800) 327-5966


Help Me Grow
(866) 693-4769


First Steps
(800) 451-3903


First Steps
(866) 583-2392


Early Intervention Program
(406) 444-5647


Early Development Network (EDN)
(888) 806-6287


Early Intervention Services
(800) 522-0066

New Hampshire

Family Centered Early Supports & Services
(800) 852-3345, ext. 5034 or (603) 271-5034

New Mexico

Family Infant Toddler Program
(866) 696-1472

New York

New York State Early Intervention Program (EIP)
(800) 522-5006 or (518) 473-7016

North Carolina

North Carolina Infant-Toddler Program (ITP)
(919) 707-5520

North Dakota

Early Intervention Program
(800) 755-8529 or (701) 328-8930


Help Me Grow
(800) 755-4769


(405) 271-8333


Early Intervention
(800) 692-7288

Rhode Island

Early Intervention Program
(401) 270-0101

South Carolina

(877) 621-0865

South Dakota

Birth to Three
(800) 305-3064


Early Childhood Intervention (ECI)
(877) 787-8999


Baby Watch
(800) 961-4226


Infant Toddler Connection of Virginia
(800) 234-1448

West Virginia

Birth to Three
(866) 321-4728


Birth to 3 Program
(800) 642-7837

District of Columbia

Strong Start
(202) 727-3665

Puerto Rico

Early Intervention
(787) 765-2929 ext. 4550, 4557 ó 4598
(Spanish only)


Guam Early Intervention System (GEIS)
(671) 300-5776 or (671) 300-5816

American Samoa

Helping Hands
(684) 633-8553 or (684) 633-8435 (fax)

United States Virgin Islands

The Infants and Toddlers Program
(340) 777-8804 ext 2629 (St. Thomas)
(340) 773-1311 ext 3124 (St. Croix)

Commonwealth of the Northern Marianna Islands

Early Intervention Services
(670) 483-3903 or (670) 664-4841